| NPI | 1447635644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20043248A) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 101YM0800X Counselor Mental Health | |
| 103T00000X Psychologist | |
| 103T00000X Psychologist (Licence: IN 20043248A) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2023-07-06 |