| NPI | 1073565032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MP.0020) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 848) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2012-04-26 |