| NPI | 1255513834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 305803) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY 60192765) |
| 103TC0700X Psychologist, Clinical (Licence: TX 37582) | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2022-11-30 |