NPI | 1073067526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042966A) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: IN 20042966A) |
Enumeration Date | 2016-08-12 |
Last Update Date | 2021-10-28 |