NPI | 1265556633 |
---|---|
Former Name | ANNE R. LARSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2007025029) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2006011178) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2015-12-08 |