| NPI | 1639621766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ID 4061477) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20043577A) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2024-12-16 |