NPI | 1457669798 |
---|---|
Former Name | JAMIE ANNETTE D'ORAZIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4316) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSB-35421) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-09-21 |
Last Update Date | 2012-08-28 |