| NPI | 1750547089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 203199) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN 203199) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2022-07-21 |