NPI | 1871838433 |
---|---|
Former Name | SUSANN SCHMITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS018390) |
Additional Taxonomies | 103T00000X Psychologist (Licence: Psychology Trainee) |
Enumeration Date | 2012-12-06 |
Last Update Date | 2022-07-22 |