| NPI | 1063841690 |
|---|---|
| Former Name | PATRICIA MARIA PORRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: DC 11196) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MD 3515) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |