| 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 |