NPI | 1811106065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP-1767) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP-1767) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN LP-1767) | |
103TP0814X Psychologist, Psychoanalysis (Licence: MN LP-1767) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2011-03-05 |