| NPI | 1427323609 |
|---|---|
| Former Name | OLIVIA BRICENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2020-06-16 |