| NPI | 1336333764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 83703) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079780) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2025-02-24 |