| NPI | 1629717442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 20730) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2025011835) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-04-29 |