| NPI | 1750078820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM PSY-2023-0062) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2023010365) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2026-05-08 |