| NPI | 1407105596 |
|---|---|
| Former Name | REBECCA WASSERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2022-09-20 |