| NPI | 1396170346 |
|---|---|
| Former Name | KATHLEEN ELENA CRISCITIELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2286062) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2021-10-20 |