| NPI | 1245914811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 36515) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2026-02-02 |