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 |