NPI | 1316491350 |
---|---|
Former Name | MARIA GEREGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY32678) |
Additional Taxonomies | 101Y00000X Counselor |
103T00000X Psychologist (Licence: CA 32678) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-08-08 |
Last Update Date | 2021-12-07 |