NPI | 1851671499 |
---|---|
Former Name | SHARON FERNBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 28664) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2011-08-26 |
Last Update Date | 2024-07-05 |