| NPI | 1356971881 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OK 9002) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 7405) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2024-04-19 |