| NPI | 1962620328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NM PSY1012) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM PSY1012) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-07-14 |