| NPI | 1861945917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104319) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 102014) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2026-05-19 |