| NPI | 1629556535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: IN 20043217B) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: MA 279-PY-PR-TEMP) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2022-02-26 |