NPI | 1215940069 |
---|---|
Former Name | KAR3N YVETTE ROLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006940) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042051A) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2021-11-05 |