| NPI | 1114215670 |
|---|---|
| Former Name | JILL MEREDITH ZUKERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4136) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008138) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2015-01-21 |