| NPI | 1518411297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM PSY-2022-0103) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 5112) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2023-07-10 |