| NPI | 1093967549 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042498A) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001629A) | 
| Enumeration Date | 2008-10-15 | 
| Last Update Date | 2020-08-10 |