| NPI | 1881862654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM 0059C) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2018-04-02 |