| NPI | 1780605246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM PSY-2023-0111) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 5584) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-03-13 |