| NPI | 1003983115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20040361A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301011586) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2019-12-13 |