NPI | 1063398238 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.022302) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20043979B) |
Enumeration Date | 2025-08-13 |
Last Update Date | 2025-08-13 |