| NPI | 1659777381 |
|---|---|
| Former Name | ESTHER MARITZA GRANADOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY30254) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY30254) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2021-03-09 |