| NPI | 1386760569 |
|---|---|
| Former Name | JEANNE MARIE BULGIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5395) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: ID PSY-202318) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2018-12-21 |