| NPI | 1164095246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 20580) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 10802804-03) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2025-05-31 |