NPI | 1053743088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: IN 20042730A) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IN 20042730A) |
103TR0400X Psychologist, Rehabilitation (Licence: IN 99058381A) | |
Enumeration Date | 2013-08-01 |
Last Update Date | 2020-11-09 |