| NPI | 1427263243 |
|---|---|
| Former Name | KAREN LOUISE MCCOLLOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP5312) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 2206) |
| 103TC0700X Psychologist, Clinical (Licence: MN LP5312) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2021-05-28 |