NPI | 1023400397 |
---|---|
Former Name | ALLA KRYSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10550) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2015-02-24 |
Last Update Date | 2022-09-06 |