NPI | 1740574367 |
---|---|
Former Name | VIANEY ACEVEDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY24887) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
103TC0700X Psychologist, Clinical (Licence: CA PSY24887) | |
103TC1900X Psychologist, Counseling (Licence: CA PSY24887) | |
103TF0000X Psychologist, Family | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY24887) | |
Enumeration Date | 2011-05-31 |
Last Update Date | 2024-06-07 |