| NPI | 1255632279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042596A) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20042596A) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2013-11-06 |