NPI | 1831533819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN 6252) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional (Licence: MN 6252) | |
103TC0700X Psychologist, Clinical (Licence: MN 6252) | |
Enumeration Date | 2013-04-22 |
Last Update Date | 2021-03-11 |