| NPI | 1356505366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042692A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 39024) |
| 101YM0800X Counselor, Mental Health (Licence: IN 39000625A) | |
| 103TC0700X Psychologist, Clinical (Licence: OH P.08436) | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2023-02-23 |