NPI | 1457769333 |
---|---|
Former Name | WEGDAN HANNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 26481) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 2153) |
Enumeration Date | 2014-07-24 |
Last Update Date | 2014-07-24 |