| NPI | 1952498354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MA 88847) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MA 88847PC) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 88847PC) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2012-02-15 |