NPI | 1528196797 |
---|---|
Former Name | DURANDA COSETTE ORELLANA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 0944) |
Additional Taxonomies | 247200000X Technician, Other |
Enumeration Date | 2007-03-01 |
Last Update Date | 2017-06-07 |