| NPI | 1700036449 |
|---|---|
| Former Name | ELIZABETH ANN CUELLAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1373) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NM 1373) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2023-07-13 |