NPI | 1891128906 |
---|---|
Former Name | KARIN L SANDBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60926217) |
Additional Taxonomies | 103T00000X Psychologist (Licence: OR 2667) |
Enumeration Date | 2013-08-12 |
Last Update Date | 2022-04-20 |