| NPI | 1922023779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP 4402) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004880) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-04-27 |