| NPI | 1316178775 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042391A) | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 5892) | 
| Enumeration Date | 2009-08-04 | 
| Last Update Date | 2025-03-06 |