| NPI | 1497784292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM 1190) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 1016) |
| 101YM0800X Counselor, Mental Health (Licence: NE 8349) | |
| 103TC0700X Psychologist, Clinical (Licence: NM PSY1190) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2024-04-08 |