| NPI | 1154526069 |
|---|---|
| Other Name | ELLIE COVIN WOLPERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN LP 4519) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-07-08 |