| NPI | 1669875001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 76025) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 089554) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2021-12-06 |