NPI | 1669191607 |
---|---|
Former Name | ROSEANNE ZAPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 17146) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY17146) |
Enumeration Date | 2022-08-23 |
Last Update Date | 2024-08-26 |