| NPI | 1053665034 |
|---|---|
| Former Name | MARIE DIANA SCHRODER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 1613) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AL 1613) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |