| NPI | 1407812225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043002A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 19946) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2022-07-21 |