NPI | 1063779387 |
---|---|
Professional Name | MALYNN MIGNONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017132) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 05484) |
Enumeration Date | 2012-04-12 |
Last Update Date | 2022-04-11 |