| 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 | 2013-07-25 |