| NPI | 1750702791 |
|---|---|
| Former Name | MELANIE HETZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007382) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA TPS030199) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |