| 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 |