| NPI | 1073079315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 40703) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM PSY1599) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2026-03-10 |