NPI | 1558359307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20042407A) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IA 00948) |
103T00000X Psychologist (Licence: IA 00435) | |
Enumeration Date | 2005-10-06 |
Last Update Date | 2015-10-05 |