| NPI | 1508848391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042458A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39000462) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2021-09-01 |