| NPI | 1205692837 |
|---|---|
| Former Name | ROSLYN BETH BINFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MN LP7015) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071.006878) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |