| NPI | 1316589781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 21356) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 21356) |
| 1041C0700X Social Worker, Clinical (Licence: KS 06863) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2025-07-25 |