NPI | 1891907358 |
---|---|
Other Name | JUDY P CHANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 010366-1) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY18086) |
103TC0700X Psychologist, Clinical (Licence: OR 1836) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2010-04-28 |