| NPI | 1376993097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 6675) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 5538-P) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2019-12-31 |