| NPI | 1457738601 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IN 10293553) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34008044A) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2024-12-05 |