| NPI | 1407087703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 7903) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 6580) |
| 101YM0800X Counselor, Mental Health (Licence: OK 6748) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2023-12-04 |