| NPI | 1831166115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041758A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20041758A) |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2007-08-10 |