| NPI | 1316153778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4576) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007093) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-12-06 |