NPI | 1356964225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043983A) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY61524014) |
Enumeration Date | 2020-05-26 |
Last Update Date | 2025-08-26 |