NPI | 1700545001 |
---|---|
Former Name | HONGXUAN ZHONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06773) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810006471) |
Enumeration Date | 2021-12-14 |
Last Update Date | 2021-12-14 |