| NPI | 1568844298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 7621) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 59166) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2020-11-20 |