NPI | 1801291026 |
---|---|
Former Name | AMANDA BORRELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IN 99076876A) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2014-10-30 |
Last Update Date | 2016-12-07 |