| NPI | 1801235213 |
|---|---|
| Former Name | KAREN THOUSAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP 5572) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN Lp5572) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2018-07-12 |