| NPI | 1437649704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82266) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084259) |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2018-05-12 |