| NPI | 1609868504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: IN 20010502A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20010502A) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2017-06-13 |