NPI | 1508827569 |
---|---|
Former Name | RONDA JEAN HESKIN LEMKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LPP0047) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN MFT843) |
Enumeration Date | 2006-03-30 |
Last Update Date | 2007-07-08 |