| NPI | 1124373188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 350927) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM PSY-2026-0015) |
| 103T00000X Psychologist (Licence: TX 36133) | |
| 103T00000X Psychologist (Licence: NM PSY-2024-0057) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2026-05-13 |