NPI | 1457721904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043134A) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY100292) |
Enumeration Date | 2015-09-28 |
Last Update Date | 2023-07-06 |