| NPI | 1184946360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34928) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 15121) |
| 103T00000X Psychologist (Licence: NM PSY-RXC0083) | |
| 103T00000X Psychologist (Licence: TX 34928) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: TX 34928) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NM PSY-RXC0083) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: TX 34928) | |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM PSY-RXC0083) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 34928) | |
| 103TS0200X Psychologist, School (Licence: TX 34531) | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2023-07-10 |