| NPI | 1538562749 |
|---|---|
| Former Name | CARISSA D SCALF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3008) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2020-04-09 |