NPI | 1699141127 |
---|---|
Former Name | VALERIE SCHELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4890) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS T-LP 2437) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2017-11-20 |