NPI | 1427342120 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN 3812) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 3812) |
103T00000X Psychologist (Licence: TN 3812) | |
Enumeration Date | 2011-05-31 |
Last Update Date | 2024-11-07 |