| NPI | 1427879592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IN 10199408) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IN 10199408) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |