| NPI | 1891086427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 329821) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 1479) |
| 103T00000X Psychologist (Licence: KY 129660) | |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2023-03-14 |