| NPI | 1851819445 |
|---|---|
| Former Name | SHELBY ELYSE ZUCKERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01637) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS01637) |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2021-10-28 |