NPI | 1245426345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 301800) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1054) |
Enumeration Date | 2007-09-21 |
Last Update Date | 2019-09-11 |