| NPI | 1114404084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 7759) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 4968) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2021-12-13 |