| NPI | 1740543016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086423) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 122338) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2024-05-22 |