| NPI | 1851818553 |
|---|---|
| Former Name | JO E QUANBECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN 6454) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN 6454) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-12-05 |