| NPI | 1881057305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5968) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: IN 20042918A) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2022-03-16 |