NPI | 1184790933 |
---|---|
Former Name | COLETTE POEHLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 21497) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 21497) |
Enumeration Date | 2006-11-24 |
Last Update Date | 2019-01-17 |