| NPI | 1629131032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MP.000539) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 539) |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MPAP.000043) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2016-12-13 |