| NPI | 1225446479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094375) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 120859) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2024-08-13 |