| 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 |