| NPI | 1992396188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: CA 2080P0008X) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2022-09-21 |