| NPI | 1669004370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20040988A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-005711) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2024-05-21 |