| NPI | 1386777399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95737) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075090-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 077339-1) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2021-04-13 |