| NPI | 1568704807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27130) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077020) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2023-03-30 |