NPI | 1760621262 |
---|---|
Former Name | LISA/ELISA MARGARITA VINUESA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TX 33127) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 14619) |
103TC0700X Psychologist, Clinical (Licence: TX 33127) | |
Enumeration Date | 2009-02-07 |
Last Update Date | 2009-02-07 |