NPI | 1932458817 |
---|---|
Former Name | SHABAD-RATAN KAUR KHALSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31735) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 022226) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-09-06 |
Last Update Date | 2022-04-30 |