| 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 |