| NPI | 1063032712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043420A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.010247) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2021-03-24 |