| NPI | 1427583376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6286) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301017052) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2019-01-29 |