| NPI | 1942327234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM NM1213) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 4275) |
| 103TF0200X Psychologist, Forensic (Licence: TX 4275) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2025-01-08 |