| NPI | 1164799185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 20499) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 5182) |
| 1041C0700X Social Worker, Clinical (Licence: UT 8191664-3501) | |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2023-09-08 |