NPI | 1235848060 |
---|---|
Professional Name | STEPHANIE ODALYS CARRILLO NIEVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 6749) |
Enumeration Date | 2022-11-21 |
Last Update Date | 2023-11-29 |