NPI | 1437418209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MP.000027) |
Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 307769) |
103TC0700X Psychologist, Clinical (Licence: LA 920) | |
Enumeration Date | 2012-05-14 |
Last Update Date | 2022-05-24 |