| NPI | 1639679947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: IN 20042886A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-009276) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |