| NPI | 1336419597 |
|---|---|
| Former Name | KATIE BOLLINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 300390) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: LA 1193) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2021-05-31 |