NPI | 1255716916 |
---|---|
Former Name | LINDA SKALSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6203) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01645) |
Enumeration Date | 2015-07-23 |
Last Update Date | 2020-06-29 |