NPI | 1770618068 |
---|---|
Former Name | THERESA ANN DELGIUDICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018761) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301013068) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2025-01-06 |