| NPI | 1558464958 |
|---|---|
| Former Name | DIANE ARLENE BOYSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM PSY-2024-0068) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM 1134) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2025-03-23 |