NPI | 1942382015 |
---|---|
Former Name | CARRIE HORWITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY202141) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY17890) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2011-03-03 |