NPI | 1235577404 |
---|---|
Former Name | AFTON MARIE SCHOUWEILER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP5812) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3258) |
103T00000X Psychologist (Licence: MN LP5812) | |
Enumeration Date | 2013-06-11 |
Last Update Date | 2023-10-03 |