| NPI | 1194214064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM PSY-2024-0005) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PSY-2024-0005) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2024-10-28 |