| NPI | 1962566356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 636-000032) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003544) |
| 103TC0700X Psychologist, Clinical (Licence: LA 636) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2019-09-06 |