| NPI | 1477860898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 81744) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079933-01) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2018-05-22 |