NPI | 1194093641 |
---|---|
Former Name | KAVITA MAHESH DESAI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP5447) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2011-12-12 |
Last Update Date | 2023-06-21 |