Nelly Esther Bonilla Bonilla, PSYD, LP Valid NPI

Individual provider · Psychologist · Jordan, MN

NPI

1356830210

Type

Individual (Type 1)

Primary specialty

Psychologist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103T00000X

License number

LP6839 (PR)

Sex

Female

Sole proprietor

No

Enumerated

2018-05-07

Last updated

2024-09-19