| NPI | 1659718450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM PSY-2022-0035) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 10948) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2024-09-13 |