| NPI | 1689647117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20041770A) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IN 351706785) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2023-01-06 |