| NPI | 1134524762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS007881L) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: PA P6007881L) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |