| NPI | 1841532942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ND 494) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP5980) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2024-01-17 |