NPI | 1992306690 |
---|---|
Former Name | EILEEN KAY MOOREHOUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP3793) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2017021480) |
Enumeration Date | 2020-11-08 |
Last Update Date | 2020-11-08 |