| NPI | 1013370303 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043477A) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2016-04-04 | 
| Last Update Date | 2022-07-21 |