| NPI | 1154902740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20043907A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 82844) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2025-05-05 |