NPI | 1366152209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: IN 20043647A) |
Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: IN 20043647A) |
Enumeration Date | 2022-12-01 |
Last Update Date | 2022-12-27 |