| NPI | 1407137797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042748A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IA 001243) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810004367) | |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2024-01-15 |