| NPI | 1881152544 |
|---|---|
| Former Name | YESSENIA MEJIA CERVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 023033) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2021-03-10 |