| NPI | 1497200737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 6348) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 5080) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2023-07-11 |