| NPI | 1194877811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MP.0504) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: LA 504) |
| 103TC0700X Psychologist, Clinical (Licence: LA 504) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: LA 504) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2012-05-20 |