| NPI | 1407971757 |
|---|---|
| Former Name | ANDRYA MALDONADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 5360) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2016-09-07 |