| NPI | 1629402383 |
|---|---|
| Former Name | ANDREA MONGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 246762) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 173586) |
| 101Y00000X Counselor | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2026-01-27 |