| NPI | 1164144176 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043582A)  | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20043582B)  | 
| Enumeration Date | 2022-09-15 | 
| Last Update Date | 2025-04-10 |