| NPI | 1326355918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 26807) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00478400) |
| 172V00000X Community Health Worker (Licence: CA 26807) | |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2020-01-31 |