| NPI | 1013191279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0016X Psychologist Prescribing (Medical) (Licence: NM 20) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NM 0911) |
| 103TP0016X Psychologist Prescribing (Medical) (Licence: NM 00911) | |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2024-09-25 |