| NPI | 1144615709 |
|---|---|
| Former Name | CARISSA LYNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6277) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008886) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-11-24 |