| NPI | 1083290480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2021004982) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM PSY-2024-0095) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2024-12-31 |