| NPI | 1912429390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94628) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087425) |
| 1041C0700X Social Worker, Clinical (Licence: NY 087425-1) | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2025-07-02 |