| NPI | 1023153988 |
|---|---|
| Former Name | DOROTHY FISHMAN PORTNOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS343) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 4266) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |