| NPI | 1982637229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN LP4336) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP 4336) |
| 103TC0700X Psychologist Clinical (Licence: MN LP 4336) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2022-08-09 |