| NPI | 1265509897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ PSY-005255) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20040842A) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2024-08-08 |