NPI | 1407357890 |
---|---|
Former Name | CHRISTINA R LEITHNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10820) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY0713) |
Enumeration Date | 2018-02-22 |
Last Update Date | 2023-09-14 |