| NPI | 1659542462 |
|---|---|
| Former Name | MARELE VILLATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY 7697) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: FL PY 7697) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2014-02-06 |