NPI | 1326206558 |
---|---|
Former Name | GOLFO TZILOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301016359) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01278) |
Enumeration Date | 2008-05-23 |
Last Update Date | 2017-08-16 |