| NPI | 1427046200 |
|---|---|
| Former Name | MARZIEH LISA RADPOUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P2532) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW03734) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2023-09-14 |