| NPI | 1134265473 |
|---|---|
| Former Name | BRETT ELIZABETH LIEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3860) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 3860) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2013-07-18 |