| NPI | 1710424080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01820) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042888A) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2020-08-28 |