| NPI | 1689619215 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20041188A)  | 
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: IN 20041188A)  | 
| 103TC1900X Psychologist, Counseling (Licence: IN 20041188A)  | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: IN 20041188A)  | |
| Enumeration Date | 2006-06-18 | 
| Last Update Date | 2019-12-16 |