NPI | 1528127511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041562A) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY20881) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2020-01-28 |