| NPI | 1427548064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6735) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60912419) |
| 103T00000X Psychologist | |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2022-01-13 |