| NPI | 1306081807 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20041745A) | 
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: IN 20041745A) | 
| Enumeration Date | 2008-12-11 | 
| Last Update Date | 2023-08-29 |