| NPI | 1114023215 |
|---|---|
| Former Name | VICKIE ANN MAGARIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3583) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM NM3156) |
| 103TC0700X Psychologist, Clinical (Licence: NE 804) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2015-03-31 |