| NPI | 1770626129 |
|---|---|
| Former Name | TRICIA BELLUCCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 5763) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 006393) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2017-11-28 |