NPI | 1649418005 |
---|---|
Former Name | JOLIE ISSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01616) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019636) |
Enumeration Date | 2009-01-23 |
Last Update Date | 2021-07-25 |