NPI | 1659795375 |
---|---|
Former Name | AMELIA CHIANESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0004682) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-02-17 |
Last Update Date | 2018-03-17 |