NPI | 1881974640 |
---|---|
Former Name | LUIS FELIPE MORALES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY25916) |
Additional Taxonomies | 103T00000X Psychologist |
103TB0200X Psychologist Cognitive & Behavioral | |
103TC2200X Psychologist Clinical Child & Adolescent | |
103TF0000X Psychologist Family | |
103TH0100X Psychologist Health Service | |
Enumeration Date | 2011-08-25 |
Last Update Date | 2022-07-21 |