| NPI | 1548841745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 8524) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 7803-C) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2023-04-21 |