| NPI | 1760815005 |
|---|---|
| Former Name | ALEXANDRA KATHERINE STALBOERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 3838-57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3838-57) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2025-03-18 |