NPI | 1407900632 |
---|---|
Former Name | REBECCA IANNUZZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005316) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: SC 1139) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2023-07-10 |