| NPI | 1518314160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: IN 20042732A) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20042732) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2021-01-13 |