| NPI | 1851843072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 40464) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20043845A) |
| 103TC0700X Psychologist, Clinical (Licence: IN 20043845B) | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2024-11-22 |