NPI | 1023486651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31467) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA PSY31467) |
Enumeration Date | 2015-09-14 |
Last Update Date | 2023-11-20 |