NPI | 1659697217 |
---|---|
Other Name | DEBORAH DATZ HERSCHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 1592) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: MA 906) |
Enumeration Date | 2010-04-07 |
Last Update Date | 2010-04-07 |