NPI | 1477172823 |
---|---|
Former Name | LAUREN ANNE ORTEGA NECESARIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043369A) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2020-04-15 |
Last Update Date | 2023-01-26 |