NPI | 1861186678 |
---|---|
Former Name | CLAIRE NIEHAUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 287887) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2023-06-05 |
Last Update Date | 2023-10-04 |