NPI | 1376289512 |
---|---|
Other Name | MAYRA Y BARADA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61418763) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61288087) |
Enumeration Date | 2022-05-10 |
Last Update Date | 2025-10-02 |