| NPI | 1558635656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103619) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080357) |
| 1041S0200X Social Worker, School (Licence: NY 678822121) | |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2023-04-24 |