| NPI | 1255340030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043655A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071006307) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301008968) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2023-01-25 |