| NPI | 1558032466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043549A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301018984) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2022-08-30 |