| NPI | 1235612052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20043194A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071010210) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2021-01-13 |