| NPI | 1972547693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20041360A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 20041360A) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IN 20041360A) | |
| 103TC0700X Psychologist, Clinical (Licence: IN 20041360A) | |
| 103TC1900X Psychologist, Counseling (Licence: IN 20041360A) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-04-22 |