| NPI | 1295820389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM 1376) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: LA 1087) |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 0012) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-07-21 |