| NPI | 1295721835 |
|---|---|
| Former Name | KAREN ANN NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 00811) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: IA 0811) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2015-06-12 |