NPI | 1588184832 |
---|---|
Former Name | ALLISON CHRISTINE VERCELLONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361000055) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6361000055) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2023-04-26 |