| NPI | 1588340608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 20380) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61131874) |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |