| NPI | 1477600443 |
|---|---|
| Former Name | CAROLYN M CARBONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100495100) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 012798) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS017027) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2014-11-20 |