| NPI | 1528565496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM Psy20230010) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 38554) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2026-06-08 |