NPI | 1316130735 |
---|---|
Other Name | SUNNYE RUSSIELLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301019132) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2007-08-20 |
Last Update Date | 2023-01-30 |