| NPI | 1073908539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist Health Service (Licence: IN 20043283B) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: IN 20043283A) |
| 103TC1900X Psychologist Counseling (Licence: AL 2063) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2021-01-06 |