NPI | 1558667006 |
---|---|
Former Name | DEBRA ANNE KROHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NH 944) |
Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NH 944) |
Enumeration Date | 2011-02-01 |
Last Update Date | 2011-02-01 |