| NPI | 1013240738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: IN 20042527A) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: OH 6792) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2021-01-05 |