NPI | 1306227111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TH0004X Psychologist, Health |
103TH0100X Psychologist, Health Service | |
171W00000X Contractor | |
172V00000X Community Health Worker | |
Enumeration Date | 2015-06-17 |
Last Update Date | 2015-06-17 |