| NPI | 1467572479 |
|---|---|
| Other Name | MARYJO VASQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3188) |
| Additional Taxonomies | 2084P0805X (Licence: NY 016768) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2014-05-16 |