| NPI | 1649642471 |
|---|---|
| Former Name | DINA GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4854) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 4854) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-11-10 |