| NPI | 1962827584 |
|---|---|
| Former Name | ELIZABETH SARAH RANDAZZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 004879) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 003486) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2025-01-28 |