| NPI | 1407489958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP7389) |
| Additional Taxonomies | 103T00000X Psychologist |
| 174400000X Specialist | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2026-08-27 |