| NPI | 1265713366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NM CMH0217351) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NM 337836) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2022-06-01 |