| NPI | 1841782612 |
|---|---|
| Former Name | ELISE MANUELA RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA Psy31369) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2021-05-07 |