NPI | 1184172603 |
---|---|
Former Name | SUCHITA SAXENA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5676) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MI 6301016746) |
Enumeration Date | 2016-09-13 |
Last Update Date | 2019-12-30 |