| NPI | 1164848289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM PSY-2022-0131) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM 1252) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2023-08-01 |