NPI | 1760808521 |
---|---|
Former Name | NANCY KEMP, HISLOP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3493) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302257) |
103TF0000X Psychologist, Family (Licence: MN 3493) | |
Enumeration Date | 2014-03-17 |
Last Update Date | 2024-08-07 |