| NPI | 1871820068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 83092) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 079209) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2018-06-19 |