| NPI | 1689619215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| 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 |