| NPI | 1255640041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 321344) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1288) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: LA 1288) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2021-04-27 |