NPI | 1699922690 |
---|---|
Former Name | CATHERINE DECARLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY24770) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 71.008353) |
Enumeration Date | 2008-08-20 |
Last Update Date | 2025-08-05 |