| NPI | 1477264232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 21714) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 116818) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2025-10-19 |