| NPI | 1871664466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 24420) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 19425) |
| 1041C0700X Social Worker, Clinical (Licence: NY 075008) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2016-09-15 |