| NPI | 1962421834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM 0032) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NM NM0912) |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM 0912) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-08-03 |