NPI | 1306325998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
172V00000X Community Health Worker | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-08-14 |
Last Update Date | 2023-11-16 |