NPI | 1447661798 |
---|---|
Former Name | ALLISON MARTHA KOLBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IN 10193502) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 1983970) |
Enumeration Date | 2014-05-08 |
Last Update Date | 2024-09-26 |