NPI | 1821289497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20040468A) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20040468A) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-12-20 |