NPI | 1801968094 |
---|---|
Former Name | JANE GALVIN ASTE |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP2821) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 320) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2007-07-08 |