| NPI | 1598274417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089516-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW130014) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2026-01-22 |