| NPI | 1326701541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102291) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 099095) |
| 1041C0700X Social Worker, Clinical (Licence: NY 090035) | |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2023-03-07 |