| NPI | 1720894603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 202358EX) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A2411015) |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2025-05-20 |