NPI | 1306263785 |
---|---|
Other Name | CY VALERA ESTONACTOC |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25631) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 25631) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 25631) | |
103TF0000X Psychologist, Family (Licence: CA 25631) | |
Enumeration Date | 2014-03-24 |
Last Update Date | 2014-03-24 |