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 |