NPI | 1669961363 |
---|---|
Former Name | HANNAH RIESSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MI 6362010066) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-05-08 |
Last Update Date | 2024-11-19 |