| NPI | 1548279201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4829) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OH 6256) |
| 103T00000X Psychologist (Licence: MN LP4829) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2022-03-11 |