| NPI | 1689958399 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20043157A) | 
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IN 20043157A) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-09-30 | 
| Last Update Date | 2025-05-23 |