| NPI | 1093716466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042049A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007159) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-10-30 |