| NPI | 1417384504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: IN 20042613A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042613A) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2015-04-28 |