| NPI | 1629272877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042887A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 172186) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-10-07 |