NPI | 1679766075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27262) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.011920) |
1041C0700X Social Worker, Clinical (Licence: NY 075240) | |
1041S0200X Social Worker, School | |
Enumeration Date | 2007-08-20 |
Last Update Date | 2023-12-26 |