NPI | 1487795522 |
---|---|
Former Name | DEANNE ZOTTER BONIFAZI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS007150L) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS007150L) |
Enumeration Date | 2007-02-10 |
Last Update Date | 2008-09-29 |