| NPI | 1629248877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IN 20042330A) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IN 20042330A) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2022-06-01 |