NPI | 1306081807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20041745A) |
Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: IN 20041745A) |
Enumeration Date | 2008-12-11 |
Last Update Date | 2023-08-29 |