| NPI | 1467547885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: LA 609MP) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 609MP) |
| 103TC0700X Psychologist, Clinical (Licence: LA 609MP) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: LA 609MP) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-12 |