| NPI | 1730740747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 8794) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 7389) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2023-10-27 |