NPI | 1528321296 |
---|---|
Former Name | MIKHILA N HUMBAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301015706) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301015125) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2022-01-10 |