NPI | 1073825212 |
---|---|
Other Name | SANDY VARGAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PR 3825) |
Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: PR 3825) |
103TF0000X Psychologist Family (Licence: PR 3825) | |
103TH0004X Psychologist Health (Licence: PR 3825) | |
Enumeration Date | 2010-07-03 |
Last Update Date | 2018-11-01 |