NPI | 1548530561 |
---|---|
Former Name | CARISSA COIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6875) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: OH 6875) |
Enumeration Date | 2012-01-06 |
Last Update Date | 2018-08-16 |