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 |