| NPI | 1972912079 |
|---|---|
| Former Name | STEPHANIE RICCARDI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 003614) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 68 020741) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2019-01-28 |