| NPI | 1124200340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20042850A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 129459) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2024-08-16 |