NPI | 1255619219 |
---|---|
Former Name | KARI ELIZABETH FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS017042) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B10000868) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B10000890) | |
Enumeration Date | 2011-07-25 |
Last Update Date | 2014-02-17 |