NPI | 1295132975 |
---|---|
Former Name | LYNNE ANN FLORES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 6144) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 29009) |
103TC0700X Psychologist Clinical (Licence: PA PS017705) | |
Enumeration Date | 2014-11-25 |
Last Update Date | 2024-04-22 |