| NPI | 1609079821 |
|---|---|
| Former Name | BONNIE SOLOMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 15621) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 12858) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |