| NPI | 1558359307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20042407A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IA 00948) |
| 103T00000X Psychologist (Licence: IA 00435) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2015-10-05 |