NPI | 1407059991 |
---|---|
Former Name | KARLEEN JO SEKULSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361004629) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301011941) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2024-03-28 |