| NPI | 1790098291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043065A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 1735) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2017-11-13 |