| NPI | 1952551152 |
|---|---|
| Former Name | LILITH CHUNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 11521) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2021-08-25 |