| NPI | 1437488475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 5483) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP5483) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2019-05-14 |