| NPI | 1487104519 | 
|---|---|
| Former Name | ALISON LUNDBERG | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 6999)  | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.011237)  | 
| Enumeration Date | 2016-10-13 | 
| Last Update Date | 2025-06-03 |