Individual
RUTH BONNIE GLASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PSY 5242
CA
102L00000X
Psychoanalyst
PSY 5242
CA
Other
Enumeration date
02/25/2012
Last updated
02/25/2012
Update your record
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