NPI | 1003046210 |
---|---|
Former Name | JEANA L. MAGYAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WI 2652-057) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2652-057) |
Enumeration Date | 2009-07-22 |
Last Update Date | 2024-11-22 |