| NPI | 1942581764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20043219A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 9470) |
| 103TC0700X Psychologist Clinical (Licence: IN 20043219B) | |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2022-02-01 |