| NPI | 1962567636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 22165) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R038084-1) |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2015-03-17 |