| NPI | 1619402245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20043913B) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005740) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2025-04-08 |