NPI | 1164997094 |
---|---|
Former Name | JULIE FITZGERALD SCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017617) |
Additional Taxonomies | 103TS0200X Psychologist School |
Enumeration Date | 2018-10-08 |
Last Update Date | 2024-07-27 |