NPI | 1952732026 |
---|---|
Professional Name | CLEDICIANNE DORVIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS017367) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NJ 692206) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35SI00522100) | |
Enumeration Date | 2013-11-27 |
Last Update Date | 2014-02-08 |