| NPI | 1013376300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 088933) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 110503) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2023-08-14 |