NPI | 1881673937 |
---|---|
Former Name | ANN EILEEN BUCHANAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP1741) |
Additional Taxonomies | 103TS0200X Psychologist School (Licence: MN LP1741) |
Enumeration Date | 2006-01-16 |
Last Update Date | 2007-07-09 |