| NPI | 1881607844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: MN 1154) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN 1154) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MN 1154) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |