| NPI | 1821387960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115372) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084025) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2023-06-20 |