| NPI | 1053105817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 126504-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 126504-01) |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |