| NPI | 1265422703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 137) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM 0009) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2022-07-21 |