| NPI | 1740722388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93377) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084450) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2021-06-05 |