| NPI | 1386763878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 305116) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: LA 940) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2022-07-21 |