NPI | 1780084368 |
---|---|
Other Name | ANDRA RAISA PETCA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P07936) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-09-02 |
Last Update Date | 2022-05-23 |