| NPI | 1558317966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IN 20041239A) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IN 20041239A) |
| 103TC0700X Psychologist, Clinical (Licence: IN 20041239A) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2017-10-26 |