| NPI | 1154413847 |
|---|---|
| Former Name | MAYLING DE LOS ANGELES GUTIERREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MP.000023) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 016271) |
| 103TC0700X Psychologist, Clinical (Licence: LA 1032) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2016-09-26 |