| NPI | 1073904645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OK 7687) |
| Additional Taxonomies | 101Y00000X Counselor |
| 171M00000X Case Manager/Care Coordinator (Licence: OK 305921) | |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2021-03-19 |