NPI | 1194845644 |
---|---|
Professional Name | JUAN RICARDO FELICIANO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8938) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7464) |
103T00000X Psychologist (Licence: FL PY8938) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2018-06-08 |