| 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 |