NPI | 1629222088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20041640A) |
Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IN 20041640A) |
Enumeration Date | 2008-11-12 |
Last Update Date | 2018-10-17 |