| NPI | 1851085641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MN LP6939) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MN LP6939) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-09-16 |