| NPI | 1114063781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: IN 20042487A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042487A) |
| 101YM0800X Counselor, Mental Health (Licence: IN 39001849A) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2017-05-01 |