| NPI | 1881790590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1037) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NM PA-0938) |
| 103G00000X Clinical Neuropsychologist (Licence: HI PSY-1150) | |
| 1041C0700X Social Worker, Clinical (Licence: NM I-2145) | |
| 1041C0700X Social Worker, Clinical (Licence: HI LCSW-3980) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-04-02 |