| NPI | 1942644174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 78701) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0888191) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2018-03-17 |