NPI | 1740310739 |
---|---|
Former Name | KERI ANN ZARYBNISKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY18941) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-007168) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |