NPI | 1659710721 |
---|---|
Other Name | JOHANNA TORRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R2769) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101277934) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 18839) | |
Enumeration Date | 2013-06-21 |
Last Update Date | 2023-06-06 |