| NPI | 1952953523 |
|---|---|
| Former Name | JILL BETH ROMANSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MD 04555) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MD 04555) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-08-21 |