NPI | 1821571803 |
---|---|
Former Name | ERICA TANNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY P13257) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024358) |
103TC0700X Psychologist, Clinical (Licence: NJ 35SI00669600) | |
Enumeration Date | 2018-09-14 |
Last Update Date | 2023-01-31 |