| NPI | 1568845931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121015) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 22040) |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2025-12-09 |