| NPI | 1407890700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041897A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20041897A) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2012-05-16 |