| NPI | 1093237232 |
|---|---|
| Former Name | CARRISSA L MONIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10000184) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2024-09-05 |