NPI | 1073892568 |
---|---|
Former Name | EUGENIA GARCIA-DUBUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022139-1) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 022139-1) |
103TF0200X Psychologist, Forensic (Licence: NY 022139-1) | |
Enumeration Date | 2011-08-15 |
Last Update Date | 2018-10-21 |