NPI | 1104292820 |
---|---|
Former Name | NINA KRISHNAMURTHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071009098) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009098) |
Enumeration Date | 2015-08-17 |
Last Update Date | 2016-01-26 |