| NPI | 1255313466 |
|---|---|
| Former Name | MADHAVI A REDDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 223251) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 223251) |
| 101YM0800X Counselor, Mental Health (Licence: MA 223251) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2019-01-09 |