| NPI | 1568448728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4329) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP4329) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2020-04-24 |