| NPI | 1083130025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OK 7269) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OK 5999) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-07-21 |