| NPI | 1487844882 |
|---|---|
| Former Name | VERONICA FENSKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 4214) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: VA 701004261) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2017-01-30 |