| NPI | 1437539194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OK #5111-P) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OK #5111-P) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-07-31 |