NPI | 1649411406 |
---|---|
Former Name | MEREDITH L. GUNLICKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN GL0009) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MN GL0009) |
103TC0700X Psychologist, Clinical (Licence: MN GL0009) | |
Enumeration Date | 2009-03-09 |
Last Update Date | 2011-11-28 |