NPI | 1811299571 |
---|---|
Former Name | KRISTIN BORRACCI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY12115) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 10519) |
Enumeration Date | 2010-11-30 |
Last Update Date | 2023-12-28 |