| NPI | 1669523114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 24967) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 096057) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-09-07 |