NPI | 1669527651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP3924) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MN LP3924) |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MN LP3924) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: MN LP3924) | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2023-10-30 |