| NPI | 1164605614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73 078457) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 26766) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2022-11-04 |