| NPI | 1003060252 |
|---|---|
| Former Name | LISSETH CARMEN CALVIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008585) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI PSY-1230) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2025-07-23 |