| NPI | 1144392564 |
|---|---|
| Former Name | RENA CONEJO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3081) |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2018-10-08 |