| NPI | 1396092466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 83718) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 075966) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2020-02-27 |