| NPI | 1568883544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043275B) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 242904) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2019-08-16 |