| NPI | 1336607969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075856) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 27646) |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2019-03-02 |