| NPI | 1619506854 |
|---|---|
| Former Name | ANITA MARIE VITALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12368) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810006450) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810006450) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2024-09-27 |