| NPI | 1952751240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6210) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY0004429) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2018-03-17 |