| NPI | 1932923075 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20043891B) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20043891A) |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-12-31 |