| NPI | 1144579210 |
|---|---|
| Other Name | BETSY NICKELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06758) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY32705) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2023-05-04 |