| NPI | 1083919799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043183B) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 261Q00000X) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2025-01-22 |