| NPI | 1184148553 |
|---|---|
| Former Name | DAPHINE VIVAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL 12000) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IA 107614) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2024-10-16 |