| NPI | 1063699023 |
|---|---|
| Former Name | MERY JESSY MACALUSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY21828) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |