NPI | 1316359722 |
---|---|
Former Name | MARIA ELENA CORTES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 04-05P) |
Additional Taxonomies | 103T00000X Psychologist |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: AR 04-05P) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AR 04-05P) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: 04-05P) | |
Enumeration Date | 2014-05-20 |
Last Update Date | 2014-05-20 |