| NPI | 1598743213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4697) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP4598) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2020-09-08 |