| NPI | 1417252644 |
|---|---|
| Former Name | SALOUMEH BOZORGZADEH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008615) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180007717) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2023-04-04 |