| NPI | 1306415005 |
|---|---|
| Former Name | ALEDA JORDYN VARGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010584) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014043) |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2021-08-30 |