NPI | 1891176012 |
---|---|
Former Name | VICTORIYA KOGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009176) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 178008016) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2016-04-06 |