NPI | 1215145511 |
---|---|
Former Name | NANCIE R ZIEMKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO 2791) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 2791) |
103TF0000X Psychologist, Family (Licence: CO 2791) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CO 2791) | |
Enumeration Date | 2007-05-18 |
Last Update Date | 2024-10-03 |