| NPI | 1316231756 |
|---|---|
| Former Name | EMILY ANN FITZGERALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 29973) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2021-06-22 |