| NPI | 1093786816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20042541A) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health (Licence: IN 39001745A) | |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-10-30 |