| NPI | 1730491713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042621A) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2012-11-09 |