| NPI | 1447656723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ND 521) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP 5835) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2023-06-09 |