| NPI | 1396859310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 4328) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AZ 2028) |
| 103T00000X Psychologist (Licence: WI 2514-057) | |
| 103T00000X Psychologist (Licence: AZ 2028) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MN 4328) | |
| 103TH0100X Psychologist Health Service (Licence: MN 4328) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: MN 4328) | |
| 103TR0400X Psychologist Rehabilitation (Licence: MN 4328) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2015-12-15 |