NPI | 1003573767 |
---|---|
Former Name | CYNDY SOTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: AZ PSY-005527) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NV PY1067) |
Enumeration Date | 2021-11-17 |
Last Update Date | 2022-09-01 |