NPI | 1134549520 |
---|---|
Former Name | NOELLE ZULEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005748) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701005786) |
Enumeration Date | 2014-04-23 |
Last Update Date | 2023-12-13 |