| NPI | 1528541125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM 2025-0031) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 3284) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2025-11-24 |