NPI | 1861118077 |
---|---|
Other Name | SHANIYA NICOLE BALLESTERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 156F00000X Technician/Technologist |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2022-10-19 |
Last Update Date | 2022-10-19 |