NPI | 1932392800 |
---|---|
Former Name | JOANN ALLENEGUI GOTINGCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 9864) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 31483) |
Enumeration Date | 2007-08-23 |
Last Update Date | 2021-12-08 |