| NPI | 1295938652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: CA G81106) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: CA g81106) |
| 283Q00000X Psychiatric Hospital (Licence: NC 95-0012) | |
| 283Q00000X Psychiatric Hospital (Licence: HI 12523) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2008-10-01 |