| NPI | 1619256526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80567) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084269) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2022-03-01 |