| NPI | 1861684417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078435) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 81354) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2020-01-06 |