| NPI | 1679004667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4796) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 39002692A) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-01-08 |