NPI | 1790473395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043322B) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IN 20043322B) |
Enumeration Date | 2023-05-01 |
Last Update Date | 2023-05-01 |