NPI | 1649202755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP4961) |
Additional Taxonomies | 103T00000X Psychologist |
103TC0700X Psychologist, Clinical (Licence: MN 4961) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2019-06-28 |