| NPI | 1750330338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ND 468) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP4019) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2012-10-05 |