| NPI | 1407825110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042433A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1113355) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2010-11-03 |