| NPI | 1124529557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM PSY1503) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NM PSY1503) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2023-06-08 |