Individual
MS. ILSIA SONALI LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1700 CALLE DAKOTA, SAN GERARDO, SAN JUAN, PR 00926-3470
(787) 347-2851
Mailing address
1700 CALLE DAKOTA, SAN GERARDO, SAN JUAN, PR 00926-3470
(787) 347-2851
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
806
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
806
SCHOOL PSYCHOLOGIST
PR
Enumeration date
03/02/2011
Last updated
03/02/2011
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