| NPI | 1962975417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20043239B) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 20043239A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2024-05-14 |