NPI | 1881884682 |
---|---|
Other Name | MARIA ANNA LAZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY25602) |
Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY25602) |
103TC0700X Psychologist Clinical (Licence: CA PSY25602) | |
Enumeration Date | 2007-07-27 |
Last Update Date | 2016-09-19 |