| NPI | 1396569000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MN LP7097) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic |
| Enumeration Date | 2024-11-09 |
| Last Update Date | 2024-11-09 |