| NPI | 1174023204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 20555) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 6752) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2024-04-25 |