| NPI | 1528532900 |
|---|---|
| Former Name | MAGDA MENDOZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006387) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2024-10-07 |