| NPI | 1871171744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6516) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP6516) |
| 103TE1100X Psychologist, Exercise & Sports (Licence: MN LP6516) | |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2023-02-07 |