| NPI | 1619668985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NM PSY-2025-0003) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: NM 431654) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2025-06-19 |