NPI | 1679109383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.011228) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20043332B) |
103TC0700X Psychologist, Clinical (Licence: IN 20043332A) | |
Enumeration Date | 2020-03-14 |
Last Update Date | 2024-08-26 |