NPI | 1174782379 |
---|---|
Former Name | MARCELA A. BONAFINA-CARACCIOLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 0160781) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 0160781) |
Enumeration Date | 2008-06-03 |
Last Update Date | 2021-06-04 |