NPI | 1336262690 |
---|---|
Former Name | CHRISTINA VENTO FAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM 0016) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM 0789) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2023-08-03 |