| NPI | 1912452905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87135) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06170900) |
| 104100000X Social Worker (Licence: CA 87135) | |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2022-02-21 |