| NPI | 1124531926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM PSY-2023-0011) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2877) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2024-05-01 |