| NPI | 1528366283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20042701A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 39002236A) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2015-10-30 |