| NPI | 1083841951 |
|---|---|
| Former Name | VICKI BANGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008437) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD 04674) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2013-08-08 |