| NPI | 1588048037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW92623) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 094947) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2020-01-14 |