| NPI | 1821524836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SD 628) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: SD 628) |
| 103TC1900X Psychologist, Counseling (Licence: SD 628) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: SD 628) | |
| 103T00000X Psychologist (Licence: MN LP6815) | |
| 103T00000X Psychologist (Licence: SD 628) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: SD 628) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2026-03-06 |