Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 1941 | PR |
NPI | 1073716767 |
---|---|
Provider Name | Ms. Keila Cristina Arismendi |
First Address | Carolina, PR 00982-2779 |
Second Address | Bayamon, PR 00958-1258 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 08/07/2007 |