| NPI | 1497908602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 339669) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1073) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: LA 1073) | |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2024-08-02 |