NPI | 1972667558 |
---|---|
Former Name | KRISTEN M GSANGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.6289) |
Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6289) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2022-09-06 |