NPI | 1235175316 |
---|---|
Former Name | ANGELA DILUCCHIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY22974) |
Additional Taxonomies | 103T00000X Psychologist |
103TC0700X Psychologist Clinical (Licence: CA PSY22974) | |
106H00000X Marriage & Family Therapist (Licence: CA MFC39137) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2021-04-25 |