| NPI | 1487104519 |
|---|---|
| Former Name | ALISON LUNDBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.011237) |
| 103TC0700X Psychologist, Clinical (Licence: MN 6999) | |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2025-01-17 |