| NPI | 1548437650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 300390) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: LA 1063) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2022-06-09 |