NPI | 1154966299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TN 3687) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 3687) |
103TH0100X Psychologist, Health Service (Licence: TN 3687) | |
208100000X Physical Medicine & Rehabilitation (Licence: TN 3687) | |
Enumeration Date | 2019-11-13 |
Last Update Date | 2023-09-23 |