NPI | 1740226851 |
---|---|
Former Name | KAREN T LARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP0943) |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: MN LP0943) |
103T00000X Psychologist (Licence: MN LP0943) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: MN LP0943) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2024-10-31 |