| NPI | 1629624457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW120285) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 107021) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2024-05-21 |