NPI | 1144362898 |
---|---|
Former Name | JO ANN ELIZONDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO 2230) |
Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: CO 2230) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2008-02-04 |