| NPI | 1366739096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042614A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4037) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2012-11-26 |