| NPI | 1699735183 |
|---|---|
| Former Name | DOUGLAS JAMES PRAUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 42241) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA 042805E) |
| 103T00000X Psychologist (Licence: IA 28946) | |
| 103T00000X Psychologist (Licence: NE 18062) | |
| 103T00000X Psychologist (Licence: MN 42241) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2012-08-01 |