| NPI | 1538774880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM PSY-2023-0077) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P.08638) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2026-06-25 |