NPI | 1609112127 |
---|---|
Former Name | DEBRA ORLAND NUDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CT 001713) |
Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CT 001713) |
Enumeration Date | 2013-01-02 |
Last Update Date | 2013-01-02 |