NPI | 1104915628 |
---|---|
Former Name | BARBARA HULDA LEESER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 4180) |
Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: TX 4180) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2007-07-08 |