NPI | 1306229315 |
---|---|
Former Name | EMILY ELIZABETH MEISSNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361003885) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301018313) |
103TC0700X Psychologist, Clinical (Licence: MI 6301017447) | |
246Z00000X Specialist/Technologist, Other | |
Enumeration Date | 2015-07-08 |
Last Update Date | 2022-08-05 |