| NPI | 1073611612 |
|---|---|
| Former Name | CHARLOTTE A D'SOUZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3467) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6418) |
| 101YP2500X Counselor, Professional (Licence: CO 4211) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-08-16 |