NPI | 1134451404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20042362A) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IN 28115908A) |
Enumeration Date | 2010-02-11 |
Last Update Date | 2010-02-11 |