| NPI | 1447217138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP5356) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2007030012) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2021-03-11 |