NPI | 1487925434 |
---|---|
Former Name | ANDREA R KUZMIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY 0003933) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 24444) |
Enumeration Date | 2012-01-23 |
Last Update Date | 2021-06-10 |