| NPI | 1548579949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 9253) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9253) |
| 103TC0700X Psychologist, Clinical (Licence: IN 20043734B) | |
| Enumeration Date | 2010-10-02 |
| Last Update Date | 2024-01-26 |