| NPI | 1598125114 |
|---|---|
| Former Name | JANELLE MENTRIKOSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WV 1291) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MO 2016032355) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2025-01-07 |