NPI | 1841666179 |
---|---|
Former Name | JANE ELIZABETH BERKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-08-21 |
Last Update Date | 2017-08-31 |