| NPI | 1528524170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 20399) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW84749) |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2024-05-11 |