| NPI | 1518229822 |
|---|---|
| Former Name | IVANA KRSTOVSKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 021188) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 021188) |
| 174400000X Specialist | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2021-11-19 |