NPI | 1659798171 |
---|---|
Former Name | JANAI HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 34614) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 80790) |
1041C0700X Social Worker, Clinical (Licence: IL 149.019339) | |
Enumeration Date | 2014-03-21 |
Last Update Date | 2023-10-23 |