NPI | 1730690132 |
---|---|
Former Name | VIBH FORSYTHE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 60534511) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA 60534511) |
Enumeration Date | 2017-10-12 |
Last Update Date | 2017-10-12 |