| NPI | 1437504883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043113A) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: 000) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2020-02-05 |