| NPI | 1124649090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM PSY-2023-0024) |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy (Licence: NM PSY-2023-0024) |
| 103TC0700X Psychologist Clinical (Licence: NM PSY-2023-0024) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NM PSY-2023-0024) | |
| Enumeration Date | 2020-05-02 |
| Last Update Date | 2024-10-29 |