| NPI | 1922286582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 78832) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 071043-1) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2018-05-31 |