| NPI | 1104365873 |
|---|---|
| Former Name | VIANNAE CARMONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 35541) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-14-6039) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2025-04-10 |