NPI | 1619072170 |
---|---|
Former Name | MARIA ELENA PAGELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2932-57) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2932-57) |
1041C0700X Social Worker, Clinical (Licence: WI 3816) | |
Enumeration Date | 2006-09-13 |
Last Update Date | 2024-02-12 |