| NPI | 1740282110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20040531A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20040561A) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2022-09-14 |