| NPI | 1184391450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 20709) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 116514) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2026-05-12 |