NPI | 1023433034 |
---|---|
Former Name | RONA BONNIE SCHWAB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 2163) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 2163) |
103TP0814X Psychologist, Psychoanalysis (Licence: MA 2163) | |
Enumeration Date | 2014-02-27 |
Last Update Date | 2014-02-28 |