| NPI | 1720170558 |
|---|---|
| Former Name | GLORIA MANSOUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2014-05-23 |