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 |