| NPI | 1457721904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20043134A) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: DC PSY100292) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2023-07-06 |