| NPI | 1851421671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88277) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 074288) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-03-02 |