NPI | 1679716781 |
---|---|
Other Name | WOLF SHIPON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00473800) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 018363) |
103T00000X Psychologist (Licence: DE B1-0000832) | |
Enumeration Date | 2009-04-20 |
Last Update Date | 2010-01-20 |