| NPI | 1306974746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 2486) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OK R0033126 C7839241) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |