| NPI | 1104132513 |
|---|---|
| Former Name | ASHLEIGH CHARLENE KAPPOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042605A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042605A) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2018-03-17 |