| NPI | 1376565705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1042-33) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 1042-33) |
| 103T00000X Psychologist | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2014-11-18 |