| NPI | 1912096207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042290A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810002577) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-06-15 |