| NPI | 1053942193 |
|---|---|
| Former Name | JEANETTE ZANETA DENKEROVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9949) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 022211) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |