| NPI | 1659636975 |
|---|---|
| Former Name | NATASHA MEDEIROS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2018-07-13 |