| NPI | 1639208309 |
|---|---|
| Former Name | LIBBY L BETHEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20041288A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 1068) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2019-05-22 |