NPI | 1356675813 |
---|---|
Professional Name | PEGGY D VON BRIESEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2852-057) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071007861) |
Enumeration Date | 2009-09-30 |
Last Update Date | 2010-03-16 |