NPI | 1053090340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043725A) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071011039) |
Enumeration Date | 2023-07-13 |
Last Update Date | 2025-10-10 |