NPI | 1992366314 |
---|---|
Former Name | RUTH TZIPORA BORNSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32825) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301017855) |
Enumeration Date | 2019-06-26 |
Last Update Date | 2021-10-18 |