NPI | 1700809118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging (Licence: MO LP0359) |
Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: MN LP0359) |
103TC0700X Psychologist Clinical (Licence: MN LP0359) | |
103TP2701X Psychologist Group Psychotherapy (Licence: MN LP0359) | |
103T00000X Psychologist (Licence: MN LP0359) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-07-09 |