| NPI | 1720421548 |
|---|---|
| Former Name | REGINA KAKHNOVETS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36962) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: TN 3144) |
| 103TC1900X Psychologist Counseling (Licence: AL 1670) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2017-03-09 |