| NPI | 1407077167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 3236) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM X09049) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2015-10-08 |