| NPI | 1184703639 |
|---|---|
| Former Name | CLARISSA M ESCOBAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-05-31 |