NPI | 1871930453 |
---|---|
Former Name | GAYLE MARIE DOPKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301015150) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2013-05-23 |
Last Update Date | 2024-03-22 |