| 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 |