| NPI | 1942557764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28747) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078859) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2022-07-22 |