NPI | 1134243090 |
---|---|
Former Name | KAREN L TIEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 016591) |
Additional Taxonomies | 103TS0200X Psychologist School |
Enumeration Date | 2007-03-18 |
Last Update Date | 2010-01-12 |