| NPI | 1679718647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 23716) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 073690) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2021-12-03 |