NPI | 1346292661 |
---|---|
Former Name | ALISA NOWIK STERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21587) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 016438) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY21587) | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2022-12-15 |