| NPI | 1174923536 |
|---|---|
| Former Name | ABBY DIEHL FIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005228) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2024-05-02 |