| NPI | 1679766075 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27262)  | 
| Additional Taxonomies | 1041S0200X Social Worker, School | 
| 171M00000X Case Manager/Care Coordinator | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.011920)  | |
| 1041C0700X Social Worker, Clinical (Licence: NY 075240)  | |
| Enumeration Date | 2007-08-20 | 
| Last Update Date | 2024-12-18 |