| NPI | 1245754019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6214) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20043025) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2025-01-27 |