NPI | 1053048900 |
---|---|
Former Name | DANIELLE ANNA GUTTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CT 8.003882) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 8.003882) |
103TS0200X Psychologist, School (Licence: CT 3882) | |
Enumeration Date | 2022-08-02 |
Last Update Date | 2022-12-13 |