| 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 |