| NPI | 1356498919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 6142) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM 1310) |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM PSY-RXP0061) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2025-04-17 |