| 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 |