| NPI | 1558110957 |
|---|---|
| Former Name | ELIZABETH REBECCA SCHREIBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810008629) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 6671) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-12-12 |