| NPI | 1407304553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM PSY-2024-0093) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2016034032) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2026-07-18 |