| NPI | 1912076746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 22418) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076823) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2018-10-08 |