NPI | 1023347218 |
---|---|
Former Name | LISE FLORES-REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4077) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: AZ 4077) |
Enumeration Date | 2009-12-17 |
Last Update Date | 2022-10-29 |