| NPI | 1548715972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 6741) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 126905) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2025-09-18 |