NPI | 1669962650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5720) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2018-05-15 |
Last Update Date | 2024-12-15 |