| NPI | 1427163674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 310480) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MS 43-696) |
| 103TC1900X Psychologist, Counseling (Licence: LA 1168) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-12-05 |