| NPI | 1023148277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041735A) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: IN 20041735A) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-17 |