NPI | 1386967263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP5233) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP 5233) |
Enumeration Date | 2010-03-08 |
Last Update Date | 2022-08-18 |