| NPI | 1790842565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS72979) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY LCSW 076655) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2019-07-10 |