Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist |
NPI | 1083874606 |
---|---|
Provider Name | Elena Ugas |
First Address | Pembroke Pines, FL 33026-4383 |
Second Address | Pembroke Pines, FL 33026-4383 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2008 |
Last Update Date | 02/10/2021 |