| NPI | 1780894139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20040360) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.008351) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2017-04-21 |