| NPI | 1174653398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW73176) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 081112) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-02-01 |