NPI | 1396261913 |
---|---|
Former Name | BRYN ELIZABETH SCHIELE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37631) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 37361) |
Enumeration Date | 2017-08-15 |
Last Update Date | 2019-02-14 |