| NPI | 1750994547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6810) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 02392401) |
| 103T00000X Psychologist (Licence: IA 115546) | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2024-11-11 |