| NPI | 1396670618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 140321) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 131874) |
| Enumeration Date | 2026-06-17 |
| Last Update Date | 2026-07-15 |