NPI | 1194849414 |
---|---|
Former Name | SHARON ANNE STEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP2991) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: MN LP2991) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MN LP2991) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN LP2991) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-06-24 |