NPI | 1689086621 |
---|---|
Former Name | ROANNE JOY TIONGSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31744) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY0954) |
103TC0700X Psychologist, Clinical (Licence: ID 203308) | |
225C00000X Rehabilitation Counselor | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-05-26 |
Last Update Date | 2020-05-28 |