| NPI | 1023348380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM psy1654) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0148551) |
| Enumeration Date | 2010-01-10 |
| Last Update Date | 2021-04-17 |