NPI | 1104357748 |
---|---|
Former Name | KASEY ROTHKOPF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024810) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
103TC0700X Psychologist, Clinical (Licence: NJ 35S100695900) | |
Enumeration Date | 2017-03-24 |
Last Update Date | 2023-05-30 |