NPI | 1679096101 |
---|---|
Former Name | CHARLOTTE MUCCHETTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29280) |
Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY29280) |
Enumeration Date | 2017-07-17 |
Last Update Date | 2017-07-17 |