| NPI | 1548317399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: LA 871MP) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 871MP) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2017-03-02 |