| NPI | 1427764596 |
|---|---|
| Doing Business As | THE BLACK GIRL DOCTOR |
| Entity Type | Organization |
| Authorized Contact | TAISHA CALDWELL-HARVEY CEO 510-250-2805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-02-02 |