NPI | 1205101813 |
---|---|
Former Name | CARLA P CIRILLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00590400) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CT 8.003341) |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2012-03-14 |
Last Update Date | 2024-03-15 |