| NPI | 1073905725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P009267) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 8559) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2023-06-06 |