NPI | 1033898762 |
---|---|
Other Name | ANNIE CELINE MANGOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ND 653) |
Additional Taxonomies | 103T00000X Psychologist |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2023-07-11 |
Last Update Date | 2025-09-05 |