| NPI | 1326380445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM 0049C) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36433) |
| 103T00000X Psychologist (Licence: NM 1267) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2018-03-20 |