| NPI | 1225459191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042960A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042960A) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2023-08-24 |