| NPI | 1467406538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000013A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: 00248) |
| 103TC0700X Psychologist, Clinical (Licence: IN 20041075A) | |
| 103TC1900X Psychologist, Counseling (Licence: IN 20041075A) | |
| Enumeration Date | 2006-05-21 |
| Last Update Date | 2007-07-08 |