| NPI | 1336762384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099296) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 73169) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2022-07-05 |