| NPI | 1275883084 |
|---|---|
| Former Name | ANGIE SUSANA JUAREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 34099) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2023-03-30 |