| NPI | 1821084476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist Health Service (Licence: IN 20040602) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20040602) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2012-11-26 |