| NPI | 1376528885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IN 20041913A) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY 18255) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2007-07-09 |