NPI | 1174778252 |
---|---|
Former Name | MONIKA SANDBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NM 1093) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0121881) |
Enumeration Date | 2008-11-17 |
Last Update Date | 2009-09-29 |