NPI | 1417104506 |
---|---|
Former Name | BERNADETTE B ESPELETA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34616) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical (Licence: HI 1181) | |
Enumeration Date | 2008-08-20 |
Last Update Date | 2010-09-10 |