| 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 |