| NPI | 1386533222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP7107) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN LP7107) |
| 103TC0700X Psychologist, Clinical (Licence: MN LP7107) | |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-10-14 |