NPI | 1104309350 |
---|---|
Former Name | KRISTINA NICOLE DELGADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: TX 35028) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 35028) |
103TC0700X Psychologist, Clinical (Licence: TX 35028) | |
Enumeration Date | 2018-09-13 |
Last Update Date | 2018-10-17 |