NPI | 1326245077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1066) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AK 549) |
103TC0700X Psychologist, Clinical (Licence: MS 50870) | |
103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MP.000043) | |
Enumeration Date | 2007-06-27 |
Last Update Date | 2015-08-24 |