| NPI | 1801860903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IN 20041948A) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IN 20041948A) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2014-01-10 |