| NPI | 1265909238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY005812) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM PSY1536) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2025-03-12 |