| NPI | 1427395144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121412) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 081528) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2025-10-14 |