NPI | 1801358460 |
---|---|
Former Name | CHARISSA TVRDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 103T00000X Psychologist (Licence: NE 1205) |
Enumeration Date | 2019-04-03 |
Last Update Date | 2025-10-01 |