| NPI | 1629177480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2189-057) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP2603) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2021-02-02 |