| NPI | 1023213121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253058) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 3835) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2018-01-05 |