NPI | 1528503513 |
---|---|
Other Name | SHELLY CARDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: WV 121916) |
Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: WV 121916) |
103TC0700X Psychologist Clinical (Licence: WV 121916) | |
Enumeration Date | 2016-12-29 |
Last Update Date | 2016-12-29 |