| NPI | 1811139785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 6069) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 972) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2020-12-21 |