NPI | 1255492799 |
---|---|
Former Name | KAREN L LONDRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 134-140) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2328-057) |
103TC0700X Psychologist Clinical (Licence: WI 2328057) | |
103TC0700X Psychologist Clinical (Licence: MN LP5638) | |
103TC0700X Psychologist Clinical (Licence: WI 2328-57) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2025-08-05 |