| NPI | 1700330172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042915A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042915) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2022-01-20 |