NPI | 1194847970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 323932) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 015469) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2021-02-18 |