NPI | 1376991315 |
---|---|
Former Name | KARIN KERSTIN THULE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY18269) |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
Enumeration Date | 2016-06-01 |
Last Update Date | 2016-06-01 |