| 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 |