| NPI | 1720314909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN LP5271) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP5271) |
| 103T00000X Psychologist (Licence: MN LP5271) | |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2024-04-25 |