| NPI | 1750505996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20010342A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20010342A) |
| 103TC1900X Psychologist, Counseling (Licence: IN 20010342A) | |
| 106H00000X Marriage & Family Therapist (Licence: IN 20010342A) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |