NPI | 1144523804 |
---|---|
Former Name | KATIE SAIJE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP5314) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP5314) |
Enumeration Date | 2010-12-17 |
Last Update Date | 2024-11-14 |