| NPI | 1619798246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 20461) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 1361275) |
| 1041C0700X Social Worker, Clinical (Licence: AZ 22593) | |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |