| NPI | 1962698548 |
|---|---|
| Former Name | PATRINA LYNN ANACKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27349) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 022598) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2024-08-28 |