NPI | 1518143999 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4826) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP4826) |
Enumeration Date | 2008-01-15 |
Last Update Date | 2023-09-28 |