| NPI | 1457711483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 324799) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: LA 1322) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2020-12-15 |