NPI | 1376891754 |
---|---|
Professional Name | AUTUMN MARIE GALLEGOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019439) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 19439) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2023-07-06 |