| NPI | 1528666484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20043408A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20043408A) |
| 103TC1900X Psychologist, Counseling (Licence: IN 20043408A) | |
| 225700000X Massage Therapist (Licence: IN MT21906913) | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-16 |