| NPI | 1487087623 |
|---|---|
| Former Name | TERESA MARIE ROSETTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1480) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MS T55993) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2019-04-11 |