| NPI | 1376823542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042997A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 173460) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2018-12-24 |