| NPI | 1760138432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM PSY-2025-0011) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY16476) |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2025-02-05 |