| NPI | 1871561548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MPAP000034) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 906) |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MP0906) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2017-04-25 |