NPI | 1376633214 |
---|---|
Former Name | BONNIE M LINDSKOG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 19539 233304) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 19539 233304) |
103TF0200X Psychologist, Forensic (Licence: TX 19539 233304) | |
101YP2500X Counselor, Professional (Licence: TX 19539 233304) | |
101YP2500X Counselor, Professional (Licence: TX 19539) | |
102L00000X Psychoanalyst (Licence: TX 19539) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2011-01-30 |