| NPI | 1194323618 |
|---|---|
| Former Name | CRISTA ELIZABETH GALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023943) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 023943) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NY 023943) | |
| 103TC1900X Psychologist, Counseling (Licence: NY 023943) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 023943) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 023943) | |
| 103TF0000X Psychologist, Family (Licence: NY 023943) | |
| 103TH0004X Psychologist, Health (Licence: NY 023943) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 023943) | |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2022-03-23 |