| NPI | 1881262863 |
|---|---|
| Former Name | STEPHANIE BORJAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071010393) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301017737) |
| 103TS0200X Psychologist, School (Licence: IL 2384697) | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2022-08-31 |