| NPI | 1164864682 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 966410) | 
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 1107273) | 
| Enumeration Date | 2013-07-25 | 
| Last Update Date | 2025-03-18 |