| NPI | 1659106011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IN 17594746) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: UT 560187) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |