NPI | 1245445097 |
---|---|
Former Name | MICHAL GHELBENDORF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL FLPY5389) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY5389) |
103TC0700X Psychologist, Clinical (Licence: FL FLPY5389) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: FL FLPY5389) | |
Enumeration Date | 2007-05-14 |
Last Update Date | 2018-07-26 |