| NPI | 1275885527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20048162A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO psy.0006353) |
| 103TC0700X Psychologist, Clinical (Licence: FL py11607) | |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2024-04-23 |