| NPI | 1326573528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043461A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY10561) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2022-05-31 |