NPI | 1134271430 |
---|---|
Former Name | SUSAN L AARESTAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 3541) |
Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1093) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2020-01-07 |