NPI | 1114635851 |
---|---|
Former Name | KAREN LOUISE OTTONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: KS 03181-T) |
Enumeration Date | 2022-11-11 |
Last Update Date | 2024-06-18 |