NPI | 1447541578 |
---|---|
Former Name | HERCILIA CORONA-ORDONEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 28127) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9964) |
Enumeration Date | 2011-04-24 |
Last Update Date | 2022-07-21 |