| NPI | 1184848558 |
|---|---|
| Former Name | LUCILLE ANNE CARDELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10047) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: RI PS00821) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-01-03 |