NPI | 1891426847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP7003) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP7003) |
Enumeration Date | 2022-06-21 |
Last Update Date | 2024-11-04 |