| 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 |