| NPI | 1700043759 |
|---|---|
| Other Name | MARIA Y IVANOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VT 048-0000914) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |