| NPI | 1043369176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043201A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 003346) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-11-06 |