| NPI | 1518415264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 100774) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 087811) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2021-04-21 |