| NPI | 1205171790 |
|---|---|
| Former Name | ANDREA CHRISTINE METTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 630109246) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6351004482) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810004688) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VA 0810004688) | |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2023-02-01 |