| NPI | 1487073714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: LA 1497) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 353865) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2026-09-10 |