| NPI | 1710537758 |
|---|---|
| Former Name | KAREN ROTHBALLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 3871) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-16 |