| NPI | 1003655390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 12844) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 20450) |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-05-24 |