| NPI | 1447530332 |
|---|---|
| Former Name | FAITH MICHELLE PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5898) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 1416) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2025-08-28 |