| NPI | 1558662148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP5830) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ND 475) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2016-07-11 |