| NPI | 1245500404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 307547) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: LA 1196) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2021-06-04 |