NPI | 1184823916 |
---|---|
Former Name | APRIL ANNE KOLJONEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24047) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY24047) |
Enumeration Date | 2007-07-12 |
Last Update Date | 2014-12-09 |