| NPI | 1245706563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM PSY-2022-0119) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 31534) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2024-03-13 |