| NPI | 1649503806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4713) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 1.1100158) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2021-03-01 |