| NPI | 1356412498 |
|---|---|
| Former Name | DOROTHY E JAPUNTICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP3108) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN LP3108) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2016-11-17 |