NPI | 1578896056 |
---|---|
Former Name | VALERIE MEGHAN MONTEMAYOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38191) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA Psychologist#2012535) |
Enumeration Date | 2009-09-15 |
Last Update Date | 2019-07-30 |