| NPI | 1548322407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20010274A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20010274A) |
| 103TC0700X Psychologist, Clinical (Licence: KY 0268) | |
| 103TH0100X Psychologist, Health Service (Licence: IN 20010274A) | |
| 103TH0100X Psychologist, Health Service (Licence: KY 0268) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IN 20010274A) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: KY 0268) | |
| 103T00000X Psychologist (Licence: KY 0268) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: IN 20010274A) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: KY 0268) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-05-05 |