| NPI | 1396742441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20010207A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 0441) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2021-07-08 |