| NPI | 1497352843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 21049) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011821) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2024-10-23 |