NPI | 1821524836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SD 628) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP6815) |
103T00000X Psychologist (Licence: SD 628) | |
103TA0700X Psychologist, Adult Development & Aging (Licence: SD 628) | |
103TC1900X Psychologist, Counseling (Licence: SD 628) | |
103TH0100X Psychologist, Health Service (Licence: SD 628) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: SD 628) | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-12-25 |