| NPI | 1134135395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 8089) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00000521) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-08-22 |