| NPI | 1972940450 |
|---|---|
| Former Name | DEEPA RAMANATHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005283) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VA 0810005283) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2024-04-08 |