NPI | 1801923339 |
---|---|
Former Name | BONNIE MARIE WINKLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301017020) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY0405) |
103TC1900X Psychologist, Counseling (Licence: NV PY0405) | |
103TC1900X Psychologist, Counseling (Licence: MI 6301017020) | |
Enumeration Date | 2007-02-28 |
Last Update Date | 2018-03-17 |