| NPI | 1952494411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20042030A) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IN 1-17-28912) |
| 103T00000X Psychologist (Licence: FL 7225) | |
| 103T00000X Psychologist (Licence: PA PS016098) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IN 20042030A) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20042030A) | |
| 103TF0000X Psychologist, Family (Licence: IN 20042030A) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-09-13 |