| NPI | 1508042292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 77242) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074301) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2019-11-06 |