| NPI | 1700154101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101061) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082973) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2025-09-25 |