| NPI | 1962836759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042875A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 20042875A) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20042875A) | |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2021-01-27 |