| NPI | 1902477078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 128008) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW101703) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2025-07-31 |