| NPI | 1518009745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 3839) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: PR 5210) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-03-07 |